01 / ALIGNERS
Clear Aligners
Removable, nearly invisible trays, including 3M Clarity, that fit comfortably into everyday routines.

Serving families across Eastern Suffolk County
We’ve cared for smiles across Eastern Suffolk County for years, kids, teens, and adults alike. Treatment plans are built around what you actually need, explained clearly by a lifetime board-certified orthodontist.
About our practice
Our priority is simple: careful orthodontic care in a comfortable, friendly office, for adults, adolescents, and children alike. That starts with having real options to offer, not just one approach for every case.
Meet Dr. RocheClear ceramic braces, lingual braces worn behind the teeth, clear aligners, and digital radiology, all built around your case, not whichever option happens to be on hand. Every patient gets the same individual attention, child or adult.
Many children are ready for a first screening around age seven, though not all need treatment to start right away. Current research guides that decision, with an emphasis on avoiding unnecessary early intervention or extra time in braces when a simpler approach may work.
More than 14,000 orthodontic cases and over 20 years of clear-aligner experience inform each recommendation.
Questions are welcome, second opinions are encouraged, and treatment options are explained before you move forward.

Treatment options
At John J. Roche Orthodontics, here’s what we offer. Each option below is explained clearly, so you know exactly why it’s the right fit, or isn’t, for your case.
01 / ALIGNERS
Removable, nearly invisible trays, including 3M Clarity, that fit comfortably into everyday routines.
02 / BRACES
Tooth-colored brackets for patients who prefer a more subtle alternative to metal braces.
03 / COMPLEX CASES
Coordinated orthodontic and surgical planning for more complex bite or jaw alignment needs.
04 / SELECT CASES
A smaller, more discreet bracket option for select cases.

DMD, MSEd
Lifetime Board CertifiedMeet Dr. Roche
Dr. Roche has spent his career caring for smiles across Eastern Suffolk County. His lifetime certification from the American Board of Orthodontics reflects advanced specialty examination and peer review of completed cases, the same standard that shapes every treatment plan he recommends.
That experience is what lets him tell you plainly what your case actually needs, and what it doesn't, so patients and families feel informed from their first conversation.
Your first visit
A first orthodontic appointment can come with a lot of questions. At John J. Roche Orthodontics, the goal is to help you understand what's happening, what your options are, and whether treatment is needed at all.
You can complete your paperwork ahead of time, and we'll take the time to walk through recommendations without pressure.
A complimentary first visit
Kind words from patients
A few of the stories patients have shared about the care they and their families received.
Dr. Roche and his staff are the best! Professional, courteous and knowledgeable. The doctor and his staff were wonderful when treating my special needs son. I recommend this office to everyone. Many patients travel long distances to have orthodontic treatment at Dr. Roche's office. Well worth the time!
I have been to Dr Roche for myself and my children. I travel a long distance to be seen in this practice. He makes the visit fun and stress free. His office is beautiful. The staff is super friendly and Dr. Roche has done a wonderful job on the whole family. I gladly recommend Dr. Roche and his staff for adults, teens and children.
As a middle-age adult, I wasn't happy with my teeth and I become more conscious that I wasn't smiling as much. I was referred to Dr. Roche through a mutual friend. He discussed the options with me patiently, came up with an affordable financial plan, and helped ease the stress of putting braces on my teeth at a later age in life.
Dr. Roche has been an amazing orthodontist that our whole family enjoys working with. He breaks down details in a very simple way for us to understand his process and he has an amazing way with kids.
The office staff is amazing! They were instrumental and persistent in obtaining approval from my insurance company in order to begin treatment. Appointments are always on time and efficient and Dr. Roche is very personable and informative. Highly recommend treatment with this doctor and his staff!!
I've been coming to John J Roche for a while now, and I can't say enough good things about them. Every visit is quick, efficient, and stress-free. The entire team is incredibly professional, always making sure that I'm taken care of without long waits. What truly sets them apart, though, is how they make you feel like part of their family. From the moment you walk in, you're greeted with warm smiles and a genuine sense of care. They go above and beyond to ensure you're comfortable and informed every step of the way. I highly recommend John J Roche to anyone looking for top-notch orthodontic care in a welcoming environment.
I just found out first-hand why Dr. Roche has such an extraordinarily successful orthodontic practice in multiple locations. Four days ago, I had two extractions and a bone graft, and then my stitches became dislodged last evening. Unfortunately, my oral surgeon (a sole practitioner) had already begun his July 4th vacation and was unavailable. After frantically calling several dental offices to no avail, I happened to give Dr. Roche a try. Fortunately, he was willing to help me out, and provided late night emergency assistance with my damaged sutures, what a relief! His deft and professional treatment of my problem coupled with his compassionate and reassuring demeanor made it immediately evident that he is the absolute finest dental professional that I have ever dealt with. If I happen to have any family or friends who need orthodontic care, I will immediately and enthusiastically recommend that they call Dr. Roche.
Dr. Roche is amazing, he is very patient and took his time to talk to my daughter about everything and anything. The office is very clean and welcoming, all the staff were awesome, they also took their time helping my daughter with the X-rays and she left very happy even though she was nervous when she first went in. Thank you to Dr. Roche and staff for our great first appointment.
Two Eastern Suffolk offices
Welcoming patients from Center Moriches, Southampton, East Moriches, Eastport, Moriches, Mastic, Mastic Beach, Manorville, Hampton Bays, East Quogue, and across Eastern Suffolk County.
Office hours
Office hours
Closer to the city? Dr. Roche also sees patients at our Belle Harbor office in Queens, 122-10 Rockaway Beach Blvd. Get directions
Your next step
Braces, clear aligners, or a second opinion on a plan you already have: let's figure out together what your case actually needs.
Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment. Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
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